Idlewild Family Dentistry, LLC
NPI 1649783119ActiveOrganization· Dentist, General Practice· Indian Trail, NC
Dentist, General Practice in Indian Trail, North Carolina, registered in NPPES in November 2017. The authorized official on file is Mitesh Dhulab, DMD, Owner.
Overview
| NPI | 1649783119 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2017 |
| Last updated in NPPES | Nov 7, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Clinic/Center, Sleep Disorder Diagnostic | 261QS1200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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